Providence St. Vincent Medical Center

LBN: Providence Health & Services - Oregon
Providence St. Vincent Medical Center is an health care organization with primary practice located at 9205 Sw Barnes Rd , Portland OR 97225-6603. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Providence Health & Services - Oregon can be contacted via phone (503) 215-4323, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
9205 Sw Barnes Rd Portland OR 97225-6603
Phone: (503) 215-4323
Fax: (503) 215-0297
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1285717728
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as Providence St. Vincent Medical Center
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 20th, 2006
Last updated Aug 4th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285717728 NPPES
Oregon Other RS0004 PART B MEDICARE PTAN

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